EP0947171A3 - Flexible metal probe for use in intracorporal shock wave lithotripsy - Google Patents

Flexible metal probe for use in intracorporal shock wave lithotripsy Download PDF

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Publication number
EP0947171A3
EP0947171A3 EP99105859A EP99105859A EP0947171A3 EP 0947171 A3 EP0947171 A3 EP 0947171A3 EP 99105859 A EP99105859 A EP 99105859A EP 99105859 A EP99105859 A EP 99105859A EP 0947171 A3 EP0947171 A3 EP 0947171A3
Authority
EP
European Patent Office
Prior art keywords
probe
shock wave
metal probe
wave lithotripsy
flexible metal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP99105859A
Other languages
German (de)
French (fr)
Other versions
EP0947171B1 (en
EP0947171A2 (en
Inventor
Thomas Jerger
Uwe Horn
Emanuel Goin
Andreas Menne
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ferton Holding SA
Original Assignee
Ferton Holding SA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ferton Holding SA filed Critical Ferton Holding SA
Publication of EP0947171A2 publication Critical patent/EP0947171A2/en
Publication of EP0947171A3 publication Critical patent/EP0947171A3/en
Application granted granted Critical
Publication of EP0947171B1 publication Critical patent/EP0947171B1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A61B2017/922—Devices for impaction, impact element
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter

Abstract

Bei einer für eine Zertrümmerung von Körpersteinen bei der intrakorporalen Stoßwellen-Lithotripsie als Wellenleiter verwendeten Metallsonde ist eine anfängliche Teillänge mit einer Sollbruchstelle versehen, mit welcher mögliche Fehlstellen der Sonde an einem Ort eingekreist werden, der keine Verletzungsgefahr für den Patienten bei einem insbesondere für das distale Ende anzunehmenden Brechen der Sonde befürchten läßt. Gleichzeitig kann dadurch eine Optimierung des Verlaufs der Stoßwellen mit einer unterschiedlichen Bemessung und auch mit unterschiedlichen Materialeigenschaften einzelner Teillängen der Sonde erreicht werden.

Figure 00000001
In the case of a metal probe used as a waveguide for the destruction of body stones in intracorporeal shock wave lithotripsy, an initial partial length is provided with a predetermined breaking point, with which possible defects in the probe are encircled at a location which does not pose any risk of injury to the patient, particularly for the distal one Fear that the probe will break at the end. At the same time, the course of the shock waves can be optimized with different dimensions and also with different material properties of individual partial lengths of the probe.
Figure 00000001
EP99105859A 1998-03-31 1999-03-23 Flexible metal probe for use in intracorporal shock wave lithotripsy Expired - Lifetime EP0947171B1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19814395 1998-03-31
DE19814395A DE19814395C2 (en) 1998-03-31 1998-03-31 Flexible metal probe for use in intracorporeal shock wave lithotripsy

Publications (3)

Publication Number Publication Date
EP0947171A2 EP0947171A2 (en) 1999-10-06
EP0947171A3 true EP0947171A3 (en) 2000-04-26
EP0947171B1 EP0947171B1 (en) 2003-07-23

Family

ID=7863106

Family Applications (1)

Application Number Title Priority Date Filing Date
EP99105859A Expired - Lifetime EP0947171B1 (en) 1998-03-31 1999-03-23 Flexible metal probe for use in intracorporal shock wave lithotripsy

Country Status (4)

Country Link
US (1) US6217588B1 (en)
EP (1) EP0947171B1 (en)
DE (2) DE19814395C2 (en)
ES (1) ES2204017T3 (en)

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US6855123B2 (en) 2002-08-02 2005-02-15 Flow Cardia, Inc. Therapeutic ultrasound system
EP1380265A1 (en) * 2002-07-11 2004-01-14 Olympus Optical Corporation Limited Calculus treatment apparatus
US9955994B2 (en) 2002-08-02 2018-05-01 Flowcardia, Inc. Ultrasound catheter having protective feature against breakage
JP4418366B2 (en) * 2002-08-13 2010-02-17 ウィルソン−クック・メディカル・インコーポレーテッド ERCP catheter with removable handle for basket-compatible basket
US7335180B2 (en) 2003-11-24 2008-02-26 Flowcardia, Inc. Steerable ultrasound catheter
US6942677B2 (en) 2003-02-26 2005-09-13 Flowcardia, Inc. Ultrasound catheter apparatus
US7758510B2 (en) 2003-09-19 2010-07-20 Flowcardia, Inc. Connector for securing ultrasound catheter to transducer
US7540852B2 (en) 2004-08-26 2009-06-02 Flowcardia, Inc. Ultrasound catheter devices and methods
US8221343B2 (en) * 2005-01-20 2012-07-17 Flowcardia, Inc. Vibrational catheter devices and methods for making same
US7942809B2 (en) * 2006-05-26 2011-05-17 Leban Stanley G Flexible ultrasonic wire in an endoscope delivery system
US8246643B2 (en) 2006-11-07 2012-08-21 Flowcardia, Inc. Ultrasound catheter having improved distal end
US20100036294A1 (en) * 2008-05-07 2010-02-11 Robert Mantell Radially-Firing Electrohydraulic Lithotripsy Probe
US20100128753A1 (en) * 2008-11-26 2010-05-27 Rubbermaid Incorporated Multiple-Stage Thermometer and Temperature Monitoring
US20110112527A1 (en) * 2009-11-06 2011-05-12 Angiodynamics, Inc. Flexible medical ablation device and method of use
EP2753250B1 (en) 2011-09-10 2019-03-20 Cook Medical Technologies LLC Control handles for medical devices
WO2013109269A1 (en) 2012-01-18 2013-07-25 Bard Peripheral Vascular, Inc. Vascular re-entry device
US10349958B2 (en) * 2012-03-27 2019-07-16 Cook Medical Technologies Llc Lithotripsy probes and methods for performing lithotripsy
EP3895632A1 (en) 2012-08-02 2021-10-20 Bard Peripheral Vascular, Inc. Ultrasound catheter system
CA2905107C (en) 2013-03-11 2020-04-14 Northgate Technologies Inc. Unfocused electrohydraulic lithotripter
US9360124B2 (en) 2013-03-15 2016-06-07 Cook Medical Technologies Llc Bi-directional valve device for selective control of fluid flow through multiple converging paths
US10252035B2 (en) 2015-12-07 2019-04-09 Cook Medical Techonologies Llc Rotatable control handles for medical devices and methods of using rotatable control handles
US20180140321A1 (en) 2016-11-23 2018-05-24 C. R. Bard, Inc. Catheter With Retractable Sheath And Methods Thereof
US11596726B2 (en) 2016-12-17 2023-03-07 C.R. Bard, Inc. Ultrasound devices for removing clots from catheters and related methods
US10758256B2 (en) 2016-12-22 2020-09-01 C. R. Bard, Inc. Ultrasonic endovascular catheter
US10582983B2 (en) 2017-02-06 2020-03-10 C. R. Bard, Inc. Ultrasonic endovascular catheter with a controllable sheath
DE102018101221B4 (en) * 2018-01-19 2023-05-17 Ferton Holding S.A. System for crushing and/or removing bodily stones and method of providing such a system
CN112244987B (en) * 2020-11-05 2022-09-09 孙金堂 Portable bone nail taking device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4823793A (en) * 1985-10-30 1989-04-25 The United States Of America As Represented By The Administrator Of The National Aeronuautics & Space Administration Cutting head for ultrasonic lithotripsy
EP0317507A1 (en) * 1987-11-18 1989-05-24 Ferton Holding Apparatus for acting by means of ultrasonic vibrations upon an object
US5387190A (en) * 1987-12-09 1995-02-07 Olympus Optical Co., Ltd. Probe break detector for an ultrasonic aspirator
DE4414903A1 (en) * 1994-04-28 1995-11-02 Aesculap Ag Surgical instrument with tubular shaft for arthroscopy

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CH541958A (en) 1970-11-03 1973-09-30 Eduard Kloz & Heinz Kloz Device for smashing bladder, ureter and renal pelvic stones using ultrasound
US3830240A (en) * 1972-07-02 1974-08-20 Blackstone Corp Method and apparatus for disintegration of urinary calculi
JPS6116735A (en) * 1984-07-03 1986-01-24 京都府 Stone crushing apparatus
US5425735A (en) * 1989-02-22 1995-06-20 Psi Medical Products, Inc. Shielded tip catheter for lithotripsy
DE3932966C1 (en) * 1989-10-03 1991-04-04 Richard Wolf Gmbh, 7134 Knittlingen, De
US5152767A (en) * 1990-11-23 1992-10-06 Northgate Technologies, Inc. Invasive lithotripter with focused shockwave
DE4405656C2 (en) * 1994-02-22 1998-12-10 Ferton Holding Body stone removal device
US5449363A (en) * 1994-05-06 1995-09-12 Browne Medical Systems, Inc. Endoscopic lithotripsy system
US5906623A (en) * 1995-12-11 1999-05-25 Boston Scientific Corporation Lithotripsy system
DE19618972C2 (en) * 1996-05-10 2000-06-15 Ferton Holding Delemont Handheld device for use in lithotripsy

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4823793A (en) * 1985-10-30 1989-04-25 The United States Of America As Represented By The Administrator Of The National Aeronuautics & Space Administration Cutting head for ultrasonic lithotripsy
EP0317507A1 (en) * 1987-11-18 1989-05-24 Ferton Holding Apparatus for acting by means of ultrasonic vibrations upon an object
US5387190A (en) * 1987-12-09 1995-02-07 Olympus Optical Co., Ltd. Probe break detector for an ultrasonic aspirator
DE4414903A1 (en) * 1994-04-28 1995-11-02 Aesculap Ag Surgical instrument with tubular shaft for arthroscopy

Also Published As

Publication number Publication date
EP0947171B1 (en) 2003-07-23
DE19814395C2 (en) 2000-09-21
DE19814395A1 (en) 1999-10-14
ES2204017T3 (en) 2004-04-16
DE59906323D1 (en) 2003-08-28
US6217588B1 (en) 2001-04-17
EP0947171A2 (en) 1999-10-06

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